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QA of CBCT

Alignment of kV and MV lines

verify isocenter 3D agreement

verify registration and alignment process

Image quality

monitor image quality parameters

watch for degradation

Patient dose

measure base value (surrogates: air dose, HVL)

monitor changes

Penta Guide

Catphan

Recommended reading:

Commissioning experience with cone beam

computed tomography for image-guided

radiation therapy

Lehmann et al. Journal of applied clinical

physics 2007

Clinical use of electronic portal imaging:

Report of AAPM Radiation

Therapy Committee Task Group 58

AAPM Medical Physics Practice Guideline

2.a: Commissioning and quality assurance

of X-ray–based image-guided radiotherapy

systems